Individual
ADAM C PRESTEGORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6677 RICHMOND HWY, ALEXANDRIA, VA 22306-6647
(703) 535-5568
(703) 535-1583
Mailing address
2205 BELLE VIEW BLVD, ALEXANDRIA, VA 22307-1327
(612) 801-7442
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0711000152
VA
1041C0700X
Clinical Social Worker
Primary
0904009181
VA
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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